Provider Demographics
NPI:1629405980
Name:ALCANTARA, AILEEN JUNE (RN, NP)
Entity Type:Individual
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First Name:AILEEN
Middle Name:JUNE
Last Name:ALCANTARA
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Gender:F
Credentials:RN, NP
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Mailing Address - Street 1:757 WESTWOOD PLZ
Mailing Address - Street 2:ATTENTION: RENEE APPLEBY, 7 WEST
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-8358
Mailing Address - Country:US
Mailing Address - Phone:310-206-8232
Mailing Address - Fax:310-825-7473
Practice Address - Street 1:757 WESTWOOD PLZ
Practice Address - Street 2:ATTENTION: RENEE APPLEBY, 7 WEST
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8358
Practice Address - Country:US
Practice Address - Phone:310-206-8232
Practice Address - Fax:310-825-7473
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA23610363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care